| NPI | 1093036865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 257313) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM A-2509-21) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2021-08-05 |